Postoperative subdural fluid collections in neurosurgery

Koizumi, Hidehito; Fukamachi, Akira; Nukui, Hideaki

doi:10.1016/0090-3019(87)90286-2

Cited by 56 publications

(25 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Close proximity of the STN trajectory to the lateral ventricular wall could result in an ependymal perforation and a resulting ball-valve accumulation of CSF into the white matter. 26 However, the trajectory was not near or traversed the ventricle in any other patient, thus refuting this etiological consideration.…”

Section: Discussionmentioning

confidence: 93%

Transient, symptomatic, post-operative, non-infectious hypodensity around the deep brain stimulation (DBS) electrode

Deogaonkar

Nazzaro

Machado

et al. 2011

Journal of Clinical Neuroscience

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 93%

Transient, symptomatic, post-operative, non-infectious hypodensity around the deep brain stimulation (DBS) electrode

Deogaonkar

Nazzaro

Machado

et al. 2011

Journal of Clinical Neuroscience

View full text Add to dashboard Cite

“…Those are mostly craniotomies for cerebral aneurysm, brain tumors, superficial temporal artery to middle cerebral artery bypass, and encephalomyosynangiosis. Recently, CSDH occurred after endoscopic third ventriculostomy (4,5,7,13). Mori and Maeda (7) reported that the incidence of postoperative CSDH after brain tumor removal was 0.4% and the incidence after clipping surgery was 2.4%.…”

Section: Peer-review Reportsmentioning

confidence: 99%

“…CSDH after craniotomy is thought to be a rare complication. There are a few reports that CSDH occurs sporadically after aneurysmal clipping (4,7,14). However, no previous studies have clarified the exact incidence of CSDH after clipping of an unruptured or ruptured aneurysm.…”

Section: Introductionmentioning

confidence: 99%

Incidence and Risk Factors of Chronic Subdural Hematoma After Aneurysmal Clipping

et al. 2013

View full text Add to dashboard Cite

“…This finding is contrary to the laterality of SDGs in closed-head injury, which is almost equally distributed on the right and left sides. Koizumi et al 36 and St John and Dila 64 have documented 63 cases of SDGs: 32 bilateral, 12 on the right side, and 19 on the left side.…”

Section: Iatrogenic Surgical Disruption Of the Arachnoiddura Interfacementioning

confidence: 99%

Dynamics of subdural hygroma following decompressive craniectomy: a comparative study

Aarabi¹,

Chesler²,

Maulucci³

et al. 2009

FOC

100

View full text Add to dashboard Cite

Object This retrospective comparative cohort study was aimed at discovering the risk factors associated with subdural hygroma (SDG) following decompressive craniectomy (DC) to relieve intracranial hypertension in severe head injury. Methods Sixty-eight of 104 patients who had undergone DC during a 48-month period and survived > 30 days were eligible for this study. To assess the dynamics of subdural fluid collections, the authors compared CT scanning data from and the characteristics of 39 patients who had SDGs with the data in 29 patients who did not have hygromas. Variables significant in the appearance, evolution, and resolution of this complication were analyzed in a 36-week longitudinal study. Results The earliest imaging evidence of SDG was seen during the 1st week after DC. The SDG volume peaked between Weeks 3 and 4 post-DC and was gradually resolved by the 17th week. Among the mechanisms of injury, motor vehicle accidents were most often linked to the development of an SDG after DC (p < 0.0007), and falls were least often associated (p < 0.005). Moreover, patients with diffuse brain injury were more prone to this complication (p < 0.0299) than those with an evacuated mass (p < 0.0001). There were no statistically significant differences between patients with and without hygromas in terms of age, sex, Glasgow Coma Scale score, intraventricular and subarachnoid hemorrhage, levels of intracranial pressure and cerebral perfusion pressure, timing of decompression, and the need for CSF diversion. More than 90% of the SDGs were ipsilateral to the side of the craniectomy, and 3 (8%) of 39 SDGs showed evidence of internal bleeding at ~ 8 weeks postinjury. Surgical evacuation was needed in 4 patients with SDGs. Conclusions High dynamic accidents and patients with diffuse injury were more prone to SDGs. Close to 8% of SDGs converted themselves into subdural hematomas at ~ 2 months postinjury. Although SDGs developed in 39 (~ 60%) of 68 post-DC patients, surgical evacuation was needed in only 4.

show abstract

Postoperative subdural fluid collections in neurosurgery

Cited by 56 publications

References 12 publications

Transient, symptomatic, post-operative, non-infectious hypodensity around the deep brain stimulation (DBS) electrode

Transient, symptomatic, post-operative, non-infectious hypodensity around the deep brain stimulation (DBS) electrode

Incidence and Risk Factors of Chronic Subdural Hematoma After Aneurysmal Clipping

Dynamics of subdural hygroma following decompressive craniectomy: a comparative study

Contact Info

Product

Resources

About